| NPI | 1871769398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: IL 036.124007) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 273996) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2021-04-19 |