| NPI | 1922060185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CO 53997) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 53997) |
| 208600000X Surgery (Licence: TX L7968) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-06-01 |