| NPI | 1851355333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 48484) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036-103013) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA MD.207423) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2015-12-18 |