| NPI | 1801951496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MS 21659) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MO 2006006296) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2006006296) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: MO 2006006296) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: MO 2006006296) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: MO 2006006296) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2015-02-18 |