| NPI | 1730554684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125.073650) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 036177976) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2026-06-08 |