| NPI | 1477501039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CT 1.067404) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX P2627) |
| 208600000X Surgery (Licence: GA 63647) | |
| 208600000X Surgery (Licence: WI 43684) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2021-09-16 |