| NPI | 1194981498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME126757) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A121450) |
| 204F00000X Transplant Surgery (Licence: FL ME126757) | |
| 204F00000X Transplant Surgery (Licence: NY 275722) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57014187) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2023-04-25 |