NPI | 1174802755 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A147815) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125058085) |
Enumeration Date | 2011-08-12 |
Last Update Date | 2023-11-27 |