| NPI | 1093765448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NV 21500) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 216816) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2021-11-24 |