| NPI | 1821084211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CT 064803) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 036147663) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-02-26 |