| NPI | 1457639528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX U2907) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL TRN16195) |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2023-07-11 |