| NPI | 1659312502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: PA MD072536L) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: DE C10009194) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2015-03-23 |