| NPI | 1407892334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX L9192) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX L9192) |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX L9192) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-07-21 |