| NPI | 1245511567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX M4675) |
| Additional Taxonomies | 2086S0129X (Licence: TX M4675) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036142832) | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2025-08-13 |