| NPI | 1447443809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0069339) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A66670) |
| 208600000X Surgery (Licence: CA A66670) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2023-07-25 |