| 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 |