| NPI | 1356377832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 240469-01) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NJ 25MA10491500) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2023-10-04 |