| NPI | 1124108279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TN 54678) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA 000000C51540) |
| 208600000X Surgery (Licence: TN 54678) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2017-02-06 |