NPI | 1609296763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: OR MD217472) |
Additional Taxonomies | 204F00000X Transplant Surgery (Licence: OR MD217472) |
208600000X Surgery (Licence: CA A139699) | |
Enumeration Date | 2014-04-16 |
Last Update Date | 2025-07-16 |