| NPI | 1760432108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: DC MD037319) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 270515) |
| 204F00000X Transplant Surgery (Licence: MD D62233) | |
| 208600000X Surgery (Licence: NY 270515) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2021-02-02 |