| NPI | 1124255161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 56438) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125056854) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2021-09-07 |