| NPI | 1487606307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 207144-1) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 2071441) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-05-01 |