| NPI | 1194750083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CO DR.0061657) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA a90545) |
| 204F00000X Transplant Surgery (Licence: IA 37282) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-06-24 |