| NPI | 1396846721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A94773) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A94773) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-11-01 |