| NPI | 1447357561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CO DR.0060691) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NJ 25MA07201500) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-09-13 |