| NPI | 1770538258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NJ 25MA10296500) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA10296500) |
| 204F00000X Transplant Surgery (Licence: OH 35058355) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-04-10 |