| NPI | 1134403215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME177486) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WA TR60384598) |
| 208600000X Surgery (Licence: WA TR60384598) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2025-11-10 |