| NPI | 1245412238 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: AZ 44229) | 
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.120855) | 
| Enumeration Date | 2007-11-30 | 
| Last Update Date | 2025-08-05 |