| NPI | 1902069487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TN 56202) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2008014672) |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2022-01-29 |