| NPI | 1790126530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0109542089) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: VA 0109542089) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2014-12-12 |