| NPI | 1265455406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: PA MD456635) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 40501) |
| 208600000X Surgery (Licence: PA MD456635) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-31 |