| NPI | 1326377284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 283546) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 036.121021) |
| 204F00000X Transplant Surgery (Licence: CT 055397) | |
| 204F00000X Transplant Surgery (Licence: NV 14248) | |
| 208600000X Surgery (Licence: CT 055397) | |
| 208600000X Surgery (Licence: IL 036.121021) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: NV 14248) | |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2020-10-12 |