| NPI | 1134333859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101278395) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: DC MD041489) |
| 204F00000X Transplant Surgery (Licence: AL MD.28617) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-04-20 |