| NPI | 1215102322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036132928) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.132928) |
| 208600000X Surgery (Licence: MA 233104) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2020-01-13 |