| NPI | 1417338377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME168023) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME168023) |
| 208600000X Surgery (Licence: MO 2015014463) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2025-07-17 |