| NPI | 1386684918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX P0352) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 13587) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-02-08 |