| NPI | 1093959231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WI 56155-20) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME145251) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2021-02-17 |