| NPI | 1932337235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036129551) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125-056416) |
| 208600000X Surgery (Licence: IL 036-129551) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2015-12-29 |