| NPI | 1316326705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX T9514) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX T9514) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2022-08-28 |