| NPI | 1730387697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: GA 90758) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME110289) |
| 204F00000X Transplant Surgery (Licence: CO DR.0062058) | |
| 208600000X Surgery (Licence: FL ME110289) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-03-15 |