| NPI | 1205943370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: GA 46738) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX M5697) |
| 208600000X Surgery (Licence: TX M5637) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-04-22 |