| NPI | 1144741596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 292943) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.070407) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2024-12-05 |