| NPI | 1003822206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 9300144) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NC 9300144) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-05-11 |