| NPI | 1811187941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 232486) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MA 232486) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2024-04-16 |