| NPI | 1336104041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036116543) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 25340) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D90665) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2021-02-11 |