| NPI | 1437638772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: GA 1186) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 1186) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.246840) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2023-06-16 |