| NPI | 1144470980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: UT 12017804-1205) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: UT 12017804-8905) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2025-02-03 |