| NPI | 1366414435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: PA MD072589L) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD072589L) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2025-03-05 |