| NPI | 1629374020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA A150383) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2016025186) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2023-11-27 |