| NPI | 1235616632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: FL ME160235) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME160235) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2024-04-11 |