| NPI | 1053584946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: SC 39857) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MI 5315008853) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2024-11-13 |