| NPI | 1891175642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: SC 37681) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.151955) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-08-23 |