| NPI | 1063496925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101271908) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IN 01082638A) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2024-12-04 |