| NPI | 1962481945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX G4915) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TX G4915) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2008-05-27 |