| NPI | 1538222104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C157423) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036123498) |
| 208600000X Surgery (Licence: VA 0101236881) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ND 13429) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-06-10 |