| NPI | 1093791048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MN 39954) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 39954) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-08-13 |