| NPI | 1497782304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 219236) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 219236) |
| 208C00000X Colon & Rectal Surgery (Licence: NY 219236) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-07-05 |