| NPI | 1376621730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WA MD00043860) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD00043860) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-07-21 |