| NPI | 1760400279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MD D69702) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MO 2002019234) |
| 208600000X Surgery (Licence: MO 2002019234) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-11-17 |