| NPI | 1528083284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MO 2025013416) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: KS 04-51288) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2025-11-25 |