| NPI | 1053398347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MN 29643) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: AZ 53223) |
| 204F00000X Transplant Surgery (Licence: FL ME130257) | |
| 208600000X Surgery (Licence: MN 29643) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2024-02-09 |