| NPI | 1063420586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WA 60166380) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA 60166380) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-03-07 |