| NPI | 1659341188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: GA 060782) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 48017) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2008-09-09 |