| NPI | 1225064306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 41410) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MN 41410) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MN 41410) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2022-07-14 |