| NPI | 1386887818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: VT 042.0013175) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT193467) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2015-08-12 |