| NPI | 1952344509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036097977) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301076962) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-10-21 |