| NPI | 1609251271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: KY TP724) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 036155803) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2023-08-18 |