| NPI | 1760684765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036166938) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01063822A) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-01-23 |