| NPI | 1932549359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: FL ME142289) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MO 2018015543) |
| 208600000X Surgery (Licence: MO 2018015543) | |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2022-08-16 |