| NPI | 1821352683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: IL 125-060807) |
| Additional Taxonomies | 2086S0129X (Licence: WI 71294) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036137977) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2025-08-12 |