| NPI | 1972532646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX M2068) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX M2068) |
| 207P00000X Emergency Medicine (Licence: LA MD.204939) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-07-21 |