| NPI | 1215824271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2025024174) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MO 2025024174) |
| 2086X0206X Surgery, Surgical Oncology (Licence: MO 2025024174) | |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |