| NPI | 1760457907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME52942) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME52942) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2011-12-28 |