| NPI | 1245377233 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-151332) | 
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MN 49031) | 
| Enumeration Date | 2007-01-31 | 
| Last Update Date | 2024-12-23 |