| NPI | 1255319513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: AZ 53089) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME130816) |
| 204F00000X Transplant Surgery (Licence: MN 37762) | |
| 208600000X Surgery (Licence: MN 37762) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-08-19 |