NPI | 1386914265 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A195897) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036.164485) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 96428) | |
Enumeration Date | 2012-01-09 |
Last Update Date | 2024-07-10 |