| NPI | 1356580187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: IL 036158013) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: SC 35656) |
| 208600000X Surgery (Licence: MI 4301099207) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2021-12-01 |