| NPI | 1124262951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MD D75134) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD 694101813) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2016-08-19 |