| NPI | 1770945768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL MW136647) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036171472) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-11-01 |