| NPI | 1326072604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX J0883) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A56109) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-01-10 |