| NPI | 1861422974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 230944) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: VT 042.0012771) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-03-22 |