| NPI | 1588012041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036153707) |
| Additional Taxonomies | 2086S0129X (Licence: IL 036.153707) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2025-05-01 |