| NPI | 1376641258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA C146473) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME107953) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-06-10 |