| NPI | 1316642762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2022-03090) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NC 2022-03090) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-06-13 |