| NPI | 1063522423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CO 47369) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 47369) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-06-06 |