NPI | 1083857205 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CO DR.0055598) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-04-17 |
Last Update Date | 2022-07-21 |