NPI | 1508083817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 270200) |
Additional Taxonomies | 208600000X Surgery (Licence: MA L-221349) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2017-04-25 |