| NPI | 1326003930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 67831) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME99001) |
| 208600000X Surgery (Licence: FL ME99001) | |
| 208600000X Surgery (Licence: WI 46581) | |
| 208600000X Surgery (Licence: GA 66212) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2023-06-21 |