| NPI | 1821252750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: IA MD-39019) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-39019) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2023-12-15 |