| NPI | 1952496382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101049764) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WV 21536) |
| 208600000X Surgery (Licence: PA MD434540) | |
| 208600000X Surgery (Licence: VA 0101049764) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-08-10 |