| NPI | 1841428141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX U0276) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NV 19821) |
| 208600000X Surgery (Licence: NV 19821) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2023-02-07 |