| NPI | 1629006374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD.MD.61609280) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WA MD61609280) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-12-05 |