| NPI | 1902878564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME166014) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MA 238207) |
| 208600000X Surgery (Licence: MA 238207) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2024-07-22 |