NPI | 1548623622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX V7805) |
Additional Taxonomies | 208600000X Surgery (Licence: TX V7805) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2025-08-14 |