NPI | 1376745471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 323394) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101239900) |
204F00000X Transplant Surgery (Licence: DC MD040834) | |
Enumeration Date | 2007-06-01 |
Last Update Date | 2023-06-08 |