| NPI | 1851589212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036133177) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01061485A) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2022-05-18 |