| NPI | 1841752607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: FL ME169607) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 69240) |
| 208600000X Surgery (Licence: MN 30290) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2026-07-06 |