| NPI | 1124056726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TN 61833) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 61833) |
| 2086S0102X Surgery Surgical Critical Care (Licence: IL 036090432) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-11-03 |