| NPI | 1124314919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TN 58430) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208600000X Surgery (Licence: TN 58430) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2020-12-15 |