| NPI | 1699806836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301063785) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: VA 0101041512) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-11-27 |