| NPI | 1366657793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: LA 321432) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TN 47948) |
| 208600000X Surgery (Licence: TN 47948) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-01-08 |