| NPI | 1619927605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 26011) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: GA 026011) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: GA 026011) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-07-05 |