| NPI | 1598030702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA C202359) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: KY TP500) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2025-06-18 |