| NPI | 1013043728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA L-221251) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MA 248648) |
| 204F00000X Transplant Surgery (Licence: VT 042.0012764) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-09-14 |