| NPI | 1720037237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME114675) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IN 01058390A) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2014-01-31 |