| NPI | 1457441073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX K9410) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 5950069-1205) |
| 208600000X Surgery (Licence: TX K9410) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-12-21 |