| NPI | 1275596629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NJ 25MA06000800) |
| Additional Taxonomies | 174400000X Specialist |
| 204F00000X Transplant Surgery (Licence: PA MD056219L) | |
| 208600000X Surgery (Licence: NJ 25MA06000800) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2012-02-07 |