| NPI | 1366452484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 61282) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TN 42475) |
| 208600000X Surgery (Licence: TN 42475) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-10-08 |