| NPI | 1891701975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 151000) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 151000) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-12-06 |