| NPI | 1134357791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME111702) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME111702) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2023-10-24 |