| NPI | 1205153277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: VA 0101283840) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: DC MD046737) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2025-05-08 |