| NPI | 1730316233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CO DR.0058908) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: ZZ 32145) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2018-11-30 |