NPI | 1801951637 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036075451) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301403406) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2018-08-09 |