| NPI | 1932561495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CO 0077980) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 0077980) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2026-09-02 |