| 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 |