| NPI | 1609962489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: AZ 34094) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 34094) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |