| NPI | 1407269004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MI 4301105926) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301105926) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-09-15 |