| NPI | 1871540088 |
|---|---|
| Professional Name | ELLIS J SALLOUM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD60941287) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WA MD60941287) |
| 2086S0129X Surgery, Vascular Surgery (Licence: AL 36455) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-04-08 |