| NPI | 1689217234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL MFC1841) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MD T0088063) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2021-06-11 |