| NPI | 1568142685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 3013660) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MA 1024136) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2025-12-04 |