| NPI | 1265745376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 284575) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY AS2383278) |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2018-09-11 |