| NPI | 1992754121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: PA MD058331l) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: VA 0101263839) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2024-07-25 |