| NPI | 1992124705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NY 325932) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NC 2021-02768) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-10-10 |