NPI | 1417519554 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036170785) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4351045743) |
Enumeration Date | 2019-06-28 |
Last Update Date | 2024-07-16 |