| NPI | 1295719284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 94472) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA G57432) |
| 208600000X Surgery (Licence: CA G57432) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2023-01-31 |