| NPI | 1063460566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 50530-20) |
| Additional Taxonomies | 207RA0002X Internal Medicine Adult Congenital Heart Disease (Licence: WI 50530) |
| 2086S0120X Surgery Pediatric Surgery (Licence: WI 50530-20) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036157200) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-01-05 |