| NPI | 1346491677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 102034) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD 431269) |
| 208600000X Surgery (Licence: IL 036-162494) | |
| 208600000X Surgery (Licence: PA MD431269) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2024-09-18 |