| NPI | 1063490860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NJ 25MA06038700) |
| Additional Taxonomies | 2086S0129X (Licence: NJ 25MA06038700) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2026-07-22 |