| NPI | 1891814034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: AZ 49234) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MN 60513) |
| 208600000X Surgery (Licence: MI 4301085703) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-09-08 |