| NPI | 1790946895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A152200) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MI 4301091303) |
| 208600000X Surgery (Licence: MI 4301091303) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2018-08-10 |