| NPI | 1437105756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: PA MD451438) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL Me85588) |
| 204F00000X Transplant Surgery (Licence: FL ME85588) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2014-09-03 |