| NPI | 1457353658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MS 35897) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301067523) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 35897) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301067523) | |
| 208600000X Surgery (Licence: IL 036106764) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2025-12-15 |