NPI | 1932116530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA12788700) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 228086) |
208600000X Surgery (Licence: NY 265290) | |
204F00000X Transplant Surgery (Licence: NJ 25MA12788700) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2025-09-30 |