| NPI | 1952156358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD496527) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD496527) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2026-07-29 |