| NPI | 1760992739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: IL 036153165) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 125071492) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2025-02-21 |