| 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 |