| NPI | 1861496762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NM 2001-290) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101287810) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036125892) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2026-01-02 |