| NPI | 1790858520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0041865) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MO 2006020979) |
| 208600000X Surgery (Licence: MO 2006020979) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-06-01 |