| NPI | 1356326813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: AZ 27972) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME131450) |
| 204F00000X Transplant Surgery (Licence: MN 41512) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-09-03 |