| NPI | 1982624235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: PA MD064582L) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD064582L) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-07-10 |