| NPI | 1356541338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A123128) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 267275) |
| 208600000X Surgery (Licence: MA 233712) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2024-01-07 |