| NPI | 1043660798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: FL ME149599) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT211782) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2022-01-14 |