| NPI | 1609931435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NC 39607) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 39607) |
| 204F00000X Transplant Surgery (Licence: IL 036104298) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2013-11-25 |