| NPI | 1922143890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036061823) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036061823) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2016-07-12 |