| NPI | 1235184656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WA 60067814) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IN 01083446A) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2026-06-16 |