| NPI | 1235355173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MA 231415) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-106668) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A88272) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-09-08 |