| NPI | 1154685709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX V7649) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CT 75917) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2025-05-07 |