| NPI | 1366412017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 219964) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: VT 042.0012780) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-10-29 |