| NPI | 1427215854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: VA 34178) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01080886A) |
| 208600000X Surgery (Licence: FL ME143243) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2024-02-26 |