NPI | 1336265297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 006230) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 5101015849) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036121165) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-02-11 |