| NPI | 1174602817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA A86557) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 53104-020) |
| 204F00000X Transplant Surgery (Licence: NY 263904) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-11-27 |