| NPI | 1972848331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: GA 29158) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 29158) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |