| NPI | 1649405341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036144128) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 240905) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2018-08-28 |