| NPI | 1376697391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TN 36541) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 36541) |
| 208600000X Surgery (Licence: PA MD428381) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-12-15 |