| NPI | 1184647760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: GA 44005) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: SC 21995) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-03-12 |