| NPI | 1669097549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036.180867) |
| Additional Taxonomies | 208600000X Surgery (Licence: ND RL16664) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2026-07-08 |