| NPI | 1770557787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: PA MD036879E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD036879E) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2022-04-15 |