| NPI | 1043209760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: SD 5921) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME74463) |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2014-04-04 |