| NPI | 1235100397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 71626) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01063060A) |
| 2086S0129X (Licence: IL 036132466) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036132466) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2021-12-21 |