| NPI | 1780611855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: AZ 48852) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MN 60341) |
| 204F00000X Transplant Surgery (Licence: MD D64207) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-09-08 |