| NPI | 1225215734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: PA MT194254) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT AY26291556135) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2015-07-23 |