| NPI | 1841462744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: AL 34078) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: KY 49884) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2019-04-05 |