| 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 |