| NPI | 1548721046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MA 1017274) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 1017274) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-04-03 |