| NPI | 1669961231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NJ 25MA12096200) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA12096200) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2024-06-20 |