| NPI | 1336643790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX U2139) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX U2139) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-07-23 |