| NPI | 1417078882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA G87237) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G87237) |
| 2086X0206X Surgery Surgical Oncology (Licence: CA G87237) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-09-20 |