| NPI | 1861609869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D75969) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: VA 0109542048) |
| 204F00000X Transplant Surgery (Licence: MD D75969) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0109542048) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-05-20 |