| NPI | 1366520991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA a83949) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A83949) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-01-09 |