| NPI | 1548823321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ R78864) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA LT000821) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2021-08-26 |