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 |