| NPI | 1578585683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MD D53061) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA D53061) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-01-29 |