| NPI | 1174507099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G85301) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA G85301) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA G85301) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2019-05-22 |