| NPI | 1073573671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL 157984) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD046027L) |
| 208600000X Surgery (Licence: PA MD046027L) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: PA MD046027L) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2022-08-03 |