| NPI | 1386098432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 103101) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: GA 103101) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2026-04-15 |