| NPI | 1407829658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA G76794) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD053830L) |
| 208600000X Surgery (Licence: CA G76794) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2026-01-14 |