| NPI | 1871828160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MD D0092411) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: VA 0101256518) |
| 208600000X Surgery (Licence: VA 0101256518) | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2025-03-18 |