| NPI | 1326005232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX F9437) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: TX F9437) |
| 208600000X Surgery (Licence: TX F9437) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-05-26 |