| NPI | 1114955028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: VA 0101262112) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 113000041) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2017-04-21 |