| NPI | 1497997837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NJ 25MA11131700) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 261664) |
| 208600000X Surgery (Licence: NY 261664) | |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2022-02-08 |