| NPI | 1487725917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 280878) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: AZ 36718) |
| 208600000X Surgery (Licence: MN 33689) | |
| 208600000X Surgery (Licence: NY 280878) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2015-08-31 |