| NPI | 1225260946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD153986) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: OR LL18901) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2019-09-04 |