Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD454713 | PA |
N | 204F00000X | Transplant Surgeon | MT199985 | PA |
NPI | 1578858098 |
---|---|
Provider Name | Dr. Armando Javier Ganoza Salas |
First Address | Pittsburgh, PA 15213-3236 |
Second Address | Pittsburgh, PA 15213-3236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2011 |
Last Update Date | 11/11/2019 |