| NPI | 1376579698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MN 52651) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX L2843) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2014-11-13 |