| NPI | 1831155688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: LA 20118) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TN 24176) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2022-08-22 |