| NPI | 1770530776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: AL MD.28959) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WI 49175) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-05-28 |