NPI | 1376838334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60850540) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125059251) |
Enumeration Date | 2011-06-17 |
Last Update Date | 2020-11-10 |