| NPI | 1750313292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TN MD52072) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MA 213001) |
| 208600000X Surgery (Licence: TN MD52072) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-11-20 |