| NPI | 1770545634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD038258E) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD038258E) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2021-01-23 |