| NPI | 1033183728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036121668) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 15124R) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2015-10-06 |