| NPI | 1316037989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 265291) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: AR E-4123) |
| 208600000X Surgery (Licence: AR E-4123) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-02-20 |