| NPI | 1346477171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MN 54276) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WI 64066-20) |
| 208600000X Surgery (Licence: MN 54276) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: MN 54276) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2021-05-14 |