| NPI | 1881910156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 300625) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 300625) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2022-07-05 |