| NPI | 1508956400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 236244) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 236244) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2017-02-01 |