| NPI | 1588689988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX E8611) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX E8611) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX E8611) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-12-19 |