| NPI | 1477574820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: IA MD-45522) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NH 12774) |
| 208600000X Surgery (Licence: NH 12774) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NH 12774) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IA MD-45522) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-09-14 |