| NPI | 1558718031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: IA MD-55140) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-55140) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2025-09-08 |