| NPI | 1700849486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MN 51577) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A77026) |
| 208600000X Surgery (Licence: CA A77026) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2013-03-21 |