| NPI | 1740204965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WI 37971) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0056067) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-06-02 |