| NPI | 1215050398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 327170) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A114423) |
| 208600000X Surgery (Licence: PR 19173) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2024-05-02 |