NPI | 1932184272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036131266) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 45210) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35067649A) | |
Enumeration Date | 2005-12-09 |
Last Update Date | 2023-11-27 |