| NPI | 1811185135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME131805) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A97784) |
| 208600000X Surgery (Licence: CA A97784) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2022-07-21 |