| NPI | 1790913093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.123702) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 036123702) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-08-24 |