| NPI | 1356490734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 82757) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A90695) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036127784) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-10-16 |