| NPI | 1982866331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 276087) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: LA 304943) |
| 208600000X Surgery (Licence: LA 304943) | |
| 208600000X Surgery (Licence: FL b5651662c265) | |
| 208600000X Surgery (Licence: NY 276087) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-02-02 |