| NPI | 1467688812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 314817) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 036139737) |
| 204F00000X Transplant Surgery (Licence: LA 320612) | |
| 208600000X Surgery (Licence: LA 320612) | |
| 208600000X Surgery (Licence: PA MT195694) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2023-06-26 |