| NPI | 1528350725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WI 71209-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT198999) |
| 208600000X Surgery (Licence: WI 71209) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT198999) | |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2021-01-20 |