| NPI | 1326124710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX K7827) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX K7827) |
| 2086S0127X Surgery Trauma Surgery (Licence: TX K7827) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2018-03-17 |