| NPI | 1063036192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: AL DO.4210) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151014328) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2025-09-03 |