| NPI | 1134248016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: KS 04-35331) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: VA 0101246744) |
| 208600000X Surgery (Licence: VA 0101246744) | |
| 208600000X Surgery (Licence: MI 4301082168) | |
| 204F00000X Transplant Surgery (Licence: MO 2013003476) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-06-13 |