| NPI | 1467404137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 175588) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D47982) |
| 208600000X Surgery (Licence: NY 175588) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-05-16 |