| NPI | 1326286477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 50993) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CT 50993) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2023-09-01 |