| NPI | 1841586971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 271303) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036128128) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2013-07-26 |