| NPI | 1093755027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CA C54839) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX G5725) |
| 204F00000X Transplant Surgery (Licence: CA C54839) | |
| 208600000X Surgery (Licence: TX G5725) | |
| 208600000X Surgery (Licence: CA C54839) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2015-07-27 |