| NPI | 1417271891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R3131) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX R3131) |
| 208600000X Surgery (Licence: IL 036114908) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2024-07-25 |