| NPI | 1932180387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036095933) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036095933) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-08-14 |