| NPI | 1477579902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WI 62843) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 62843) |
| 208600000X Surgery (Licence: CO 44600) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-07-08 |