| NPI | 1447367586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA A99848) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TN MD55588) |
| 208600000X Surgery (Licence: TN MD55588) | |
| 208600000X Surgery (Licence: CA A99848) | |
| 208600000X Surgery (Licence: MA 219196) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TN MD55588) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-02-23 |