NPI | 1952365272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WA MD61468223) |
Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WA MD61468223) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2023-10-30 |