| NPI | 1487806048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: GA 075257) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MT186672) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2016-01-14 |