| NPI | 1194967000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WI 66103) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 131491) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2022-11-07 |