| NPI | 1821061169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 36116673) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD034738E) |
| 204F00000X Transplant Surgery (Licence: MI 4301061978) | |
| 204F00000X Transplant Surgery (Licence: NY 220685) | |
| 204F00000X Transplant Surgery (Licence: MN 32617) | |
| 208600000X Surgery (Licence: OR MD22967) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |