| NPI | 1740698679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME MD26343) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: ME MD26343) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2025-03-11 |