| NPI | 1285860924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NE 26297) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD435998) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MD435998) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2013-02-04 |