| NPI | 1508815002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: FL ME141696) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: AL 35090) |
| 204F00000X Transplant Surgery (Licence: IN 01054551A) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-09-23 |