| NPI | 1629332507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 281844) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: SC AL38698) |
| 204F00000X Transplant Surgery (Licence: MA 281844) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2022-09-09 |