| NPI | 1912407362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MD D0089356) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA F523) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2020-07-07 |