| NPI | 1871910141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CO DR.0064803) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD 1871910141) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2024-08-21 |