| NPI | 1184179210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 287244) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 287244) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2023-06-29 |