| NPI | 1649313909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME124207) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: GA 055843) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2015-07-10 |