| NPI | 1821257668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: FL ME136464) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A103967) |
| 208600000X Surgery (Licence: CA A103967) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2021-06-08 |