| NPI | 1518947860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 47280) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MA 47280) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2021-03-24 |