| NPI | 1144532680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: FL ME115700) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IN 11015250A) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2020-04-15 |