| NPI | 1639598329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: PA MD482328) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A174347) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2023-10-23 |