| NPI | 1366488850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ID M-16367) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 306134) |
| 208600000X Surgery (Licence: IL 036-100492) | |
| 208600000X Surgery (Licence: NC 0010-09358) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-100492) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 306134) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-07-07 |