| NPI | 1710211503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: IL 036.145724) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: ZZ 3306900) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2018-04-18 |