| NPI | 1861016248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CO DR.0073192) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME159540) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2024-04-15 |