| NPI | 1457806614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301518203) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 125.075613) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX W2482) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2026-09-09 |