| NPI | 1588650725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 191936-1) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 191936-1) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2025-09-11 |