| NPI | 1053546390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: SD 10541) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WI 64393) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SD 10541) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2022-07-21 |