| NPI | 1770549594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036077118) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TN 59151) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-10-30 |