| NPI | 1174623599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: IA MD-37436) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA 37436) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-06-14 |