NPI | 1770753170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 284705) |
Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MD D67378) |
208600000X Surgery (Licence: NY 284705) | |
Enumeration Date | 2008-03-03 |
Last Update Date | 2018-12-14 |