| NPI | 1356577035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA09499200) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 283949) |
| 204F00000X Transplant Surgery (Licence: NJ 25MA09499200) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2026-06-26 |