| NPI | 1225191703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: IA MD-51381) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME129381) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-12-04 |