| NPI | 1528034212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA CA286A) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: SD 5725) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-10-02 |