| NPI | 1831133644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: KY 44016) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IN 99098912A) |
| 208600000X Surgery (Licence: IN 99098912A) | |
| 208600000X Surgery (Licence: KY 44016) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-07-09 |