NPI | 1548416969 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204F00000X Transplant Surgery (Licence: LA 345817) |
Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MO 2011016077) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2025-04-02 |