NPI | 1730166992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: MN 35464) |
Additional Taxonomies | 202K00000X Phlebology (Licence: IL 036143875) |
208600000X Surgery (Licence: MN 35464) | |
2086S0129X Surgery Vascular Surgery (Licence: IL 036143875) | |
Enumeration Date | 2005-12-29 |
Last Update Date | 2023-06-19 |