| NPI | 1831335603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 252958) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 252958) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2023-10-09 |