| NPI | 1578941969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E-18293) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 316570) |
| 208600000X Surgery (Licence: NY 316570-01) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2024-08-02 |