| NPI | 1376747154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CO DR.0076750) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WI 60134-20) |
| 208600000X Surgery (Licence: TN 67880) | |
| 204F00000X Transplant Surgery (Licence: TN 67880) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2026-05-01 |