| NPI | 1922003193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036152081) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35079877) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 195462) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35-079877) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2022-08-16 |