| NPI | 1982822763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2015019908) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MO 2015019908) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-04-25 |