| NPI | 1245412238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.120855) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: AZ 44229) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2021-07-09 |