| NPI | 1568573228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MS 23233) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: GA 024126) |
| 204F00000X Transplant Surgery (Licence: GA 24126) | |
| 208600000X Surgery (Licence: GA 24126) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-08-05 |