| NPI | 1104092899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: LA MD.204777) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.118076) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2011-12-05 |