| NPI | 1225118573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX K5969) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX K5969) |
| 2086S0120X Surgery Pediatric Surgery (Licence: TX K5969) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-05-27 |