| NPI | 1326372418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X (Licence: TX P3828) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX FTL 42826) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2014-12-05 |