| NPI | 1972771947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MA 231851) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 231851) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2011-08-30 |