| NPI | 1033239835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT MED-PHYS-LIC-112021) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036.125055) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-07-06 |