| NPI | 1043666985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036.164984) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 11021235A) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-06-06 |