| NPI | 1699805911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MD D0075219) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX R8570) |
| 208600000X Surgery (Licence: TX R8570) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-08-21 |