| NPI | 1073774311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: PA MD466378) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A115479) |
| 208600000X Surgery (Licence: CA A115479) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-12-05 |