| NPI | 1518942648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NC 200300972) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 200300972) |
| 2086S0102X Surgery Surgical Critical Care (Licence: NC 200300972) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2010-11-12 |