| NPI | 1275916447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WI 22583) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 7484) |
| 208600000X Surgery (Licence: WI 22583) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2023-07-26 |