| NPI | 1992780084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 213765) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: VT 042.0012767) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2014-03-14 |