| NPI | 1518991074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036-093440) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 42233) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 86428) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-01-06 |