| NPI | 1992773311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA G72742) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 036-114340) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2011-09-08 |