| NPI | 1114136645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: IL 036160374) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NJ 25MA09230900) |
| 208600000X Surgery (Licence: IL 036160374) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-07-07 |