| NPI | 1205812070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME MD15267) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: ME MD15267) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2013-09-18 |