| NPI | 1528212933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA12199000) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A117075) |
| 208600000X Surgery (Licence: CA A117075) | |
| 208600000X Surgery (Licence: PA MD449786) | |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2024-05-15 |