| NPI | 1821380650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NC 2011-01598) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2011-01598) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2012-12-19 |