| NPI | 1730135252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: SC 85586) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WA MD00044042) |
| 208600000X Surgery (Licence: WA MD00044042) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-05-25 |