| NPI | 1235302415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 290089) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: GA 074439) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2023-03-18 |