| NPI | 1710034509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MS 22185) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MO 2009019548) |
| 204F00000X Transplant Surgery (Licence: OR MD154953) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-06-16 |