| NPI | 1932543030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A154172) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A154172) |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2026-05-07 |