| NPI | 1285881441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WA md00026686) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA md00026686) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2011-08-12 |