| NPI | 1295889202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A83958) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MD D0067999) |
| 204F00000X Transplant Surgery (Licence: TX Q4097) | |
| 208600000X Surgery (Licence: PA MD428478) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2021-03-19 |