| NPI | 1467895458 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: IL 036161796)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036161796)  | 
| Enumeration Date | 2013-04-09 | 
| Last Update Date | 2024-11-21 |