| NPI | 1255862264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 328243) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD 9178) |
| 208600000X Surgery (Licence: NY 328243) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-11-22 |