| NPI | 1205891983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: FL ME97888) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME97888) |
| 204F00000X Transplant Surgery (Licence: WI 40406) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-12-04 |