NPI | 1720517873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 33255) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125.070609) |
Enumeration Date | 2017-06-11 |
Last Update Date | 2024-08-05 |