| NPI | 1265579932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 301667) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: KY 48466) |
| 208600000X Surgery (Licence: MI 4301102547) | |
| 208600000X Surgery (Licence: MD NA) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-11-28 |