NPI | 1619166535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204F00000X Transplant Surgery (Licence: FL ME100772) |
Additional Taxonomies | 208600000X Surgery (Licence: SD 8180) |
208600000X Surgery (Licence: FL ME100772) | |
208600000X Surgery (Licence: NC 2011-01105) | |
Enumeration Date | 2007-10-16 |
Last Update Date | 2021-01-14 |