| NPI | 1871588285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OK 28670) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 47037) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2014-07-08 |