NPI | 1457643595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA A132040) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208600000X Surgery (Licence: CA A132040) | |
Enumeration Date | 2011-05-09 |
Last Update Date | 2020-08-28 |