| NPI | 1083029839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA C191859) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 298122) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-03-14 |