| NPI | 1043773344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: VA 0101286301) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0116038828) |
| 208600000X Surgery (Licence: AZ R77332) | |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2026-08-03 |