| NPI | 1053546390 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: SD 10541) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SD 10541) | 
| 204F00000X Transplant Surgery (Licence: WI 64393) | |
| Enumeration Date | 2009-05-15 | 
| Last Update Date | 2025-03-31 |