| NPI | 1144423112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MD D81662) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WI 62496-20) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2019-09-19 |