| NPI | 1962426601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NJ 25MA09997500) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 216102) |
| 208600000X Surgery (Licence: NY 216102) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-05-11 |