| NPI | 1942238803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: FL ME115150) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 036-106378) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-06-14 |