| NPI | 1093224776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WI 67508) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 67508) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2021-01-28 |