| NPI | 1871882209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX Q5774) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA 141946) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2021-11-05 |