| NPI | 1861606634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 249966) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD430385) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-10-24 |