| NPI | 1427443076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MN 76553) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A176186) |
| 208600000X Surgery (Licence: MN 76553) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2026-03-31 |