| NPI | 1669470290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 04-16074) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: KS 0416074) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2018-11-14 |