NPI | 1992933006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036161012) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 201900619) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301094028) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 201600619) | |
Enumeration Date | 2009-06-26 |
Last Update Date | 2022-11-02 |