| NPI | 1659410678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 302552) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: AR E-8382) |
| 207L00000X Anesthesiology (Licence: MO 2012020960) | |
| 208600000X Surgery (Licence: NM 2005-0262) | |
| 208600000X Surgery (Licence: MO 2012020960) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AR E-8382) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-10-17 |