| 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 |