| NPI | 1871582593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: AZ 44341) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA 81029) |
| 204F00000X Transplant Surgery (Licence: GA G81029) | |
| 208600000X Surgery (Licence: FL ME83312) | |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2020-09-10 |