| NPI | 1225288830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 268947) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NJ 25MA10702700) |
| 208600000X Surgery (Licence: NY 268947) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2022-03-03 |