NPI | 1457353658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301067523) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036106764) |
208600000X Surgery (Licence: MI 4301067523) | |
Enumeration Date | 2005-06-01 |
Last Update Date | 2021-07-08 |