| NPI | 1871904680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA A205755) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TN 68961) |
| 208600000X Surgery (Licence: IN 11017717A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2026-01-08 |