| NPI | 1306996053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: UT 10316088-1205) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 002448) |
| 208600000X Surgery (Licence: NY 002448) | |
| 208600000X Surgery (Licence: AZ 30592) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2022-12-03 |