| NPI | 1245497478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301099790) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MI 4301099790) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2017-06-09 |