NPI | 1063975894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036.169215) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 69893) |
Enumeration Date | 2019-04-09 |
Last Update Date | 2024-06-29 |