| NPI | 1497721294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MD D71017) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 213609) |
| 204F00000X Transplant Surgery (Licence: NY 213609) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-02-13 |