| NPI | 1942687686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD484609) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IN 01086763A) |
| 208600000X Surgery (Licence: NY 309679) | |
| 208600000X Surgery (Licence: IN 01086763A) | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2024-06-03 |