| NPI | 1366651416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: PA MD440817) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A125543) |
| 204F00000X Transplant Surgery (Licence: IL 336099908) | |
| 208600000X Surgery (Licence: PA MD440817) | |
| 208600000X Surgery (Licence: PA MT190678) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-11-19 |