| NPI | 1083038558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101271338) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IN 01082398A) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2021-03-06 |