| NPI | 1114289733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 318963) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 318963-01) |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2024-05-01 |