| NPI | 1568775096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX R7415) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA09711700) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036139891) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2018-07-05 |