| NPI | 1578714507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA09042500) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD445723) |
| 208600000X Surgery (Licence: PA MD445723) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2015-05-06 |