| NPI | 1851700223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NJ 25MA10906500) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA10906500) |
| 208600000X Surgery (Licence: NY 276226) | |
| 208600000X Surgery (Licence: CA A149874) | |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2023-12-16 |