| NPI | 1013971670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: GA 061110) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WI 30135) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2014-11-19 |