| NPI | 1487614079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME136930) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD-055579-L) |
| 204F00000X Transplant Surgery (Licence: PA MD055579L) | |
| 204F00000X Transplant Surgery (Licence: FL ME136930) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2023-12-27 |