| NPI | 1811173156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036115803) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036115803) |
| 282N00000X General Acute Care Hospital (Licence: IL 036115803) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2021-04-21 |