| NPI | 1033343462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX P3702) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX P3702) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2015-09-30 |