| NPI | 1841394129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: IL 036-074094) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-074094) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2021-04-26 |