| NPI | 1912929670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA G37809) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G37809) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2010-02-19 |