| NPI | 1164498192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX L5701) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX L5701) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2019-12-02 |