| NPI | 1760793293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036153048) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 55196) |
| 208600000X Surgery (Licence: MN 55196) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2022-06-01 |