| NPI | 1730308123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: AZ 41863) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 41863) |
| 204F00000X Transplant Surgery (Licence: MN 44553) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-09-17 |