| NPI | 1528072675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: ME MD19892) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M5871) |
| 204F00000X Transplant Surgery (Licence: TX M5871) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-11-20 |