| NPI | 1003917014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301053249) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MI 4301053249) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-05-08 |