| NPI | 1982661344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: UT 12742339-1205) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: UT 12742339-1205) |
| 204F00000X Transplant Surgery (Licence: NE 22313) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2026-06-15 |