| NPI | 1417105602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C134519) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 036117369) |
| 208600000X Surgery (Licence: IL 036117369) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2017-01-17 |