| NPI | 1669683470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: AZ 62926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 62926) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-096659) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-05-20 |