| NPI | 1366825408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OK 37083) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: LA GETP.201473) |
| 208600000X Surgery (Licence: FL MFC1786) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2023-08-03 |