| NPI | 1568699783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NC 2021-00868) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116021184) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2022-01-21 |