| NPI | 1891051934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 04-49824) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD467613) |
| 208600000X Surgery (Licence: PA MD467613) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-08-15 |