| NPI | 1598892952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: GA 63081) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-228120) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-01-30 |