| NPI | 1538194436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WI 58876) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A86819) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-12-20 |