NPI | 1821352683 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036137977) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 125-060807) |
2086S0129X Surgery, Vascular Surgery (Licence: WI 71294) | |
Enumeration Date | 2012-06-26 |
Last Update Date | 2022-12-05 |