| NPI | 1396991857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WI 70564) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 70564) |
| 208600000X Surgery (Licence: IL 125055132) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2019-03-28 |