| NPI | 1588839997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA A103008) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MA 262959) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2023-11-27 |