| NPI | 1164696043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: FL MFC1755) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY Pending) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2016-08-17 |