| NPI | 1548659980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WI 82286) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A173264) |
| 208600000X Surgery (Licence: CA A173264) | |
| 208600000X Surgery (Licence: IL 036-165946) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018992A) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2023-10-19 |