| NPI | 1184627143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD039813L) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD039813L) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-08-13 |