| NPI | 1215090832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MI 4301082339) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301082339) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2025-04-15 |