| NPI | 1437113446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA G62500) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G62500) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-07-09 |