| NPI | 1285656314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MA 208430) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 208430) |
| 204F00000X Transplant Surgery (Licence: VT 042.0012768) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-09-24 |