| NPI | 1740205459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD435839) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD435839) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-08-20 |