| NPI | 1982710869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA C149909) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: SC 28280) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2018-04-12 |