| NPI | 1952354383 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: MD D64580)  | 
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MD D64580)  | 
| Enumeration Date | 2006-05-18 | 
| Last Update Date | 2013-02-05 |