| NPI | 1073718680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CO DR.0048084) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 48084) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2017-01-20 |