| NPI | 1083056089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX U0978) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX U0978) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2023-03-14 |