| NPI | 1720045347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: KY 31002) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: KY 31002) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2008-04-15 |