Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MT197973 | PA |
NPI | 1740594241 |
---|---|
Provider Name | Edgar Enrique Ramos Diaz |
First Address | Pittsburgh, PA 15213-3224 |
Second Address | Pittsburgh, PA 15213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2010 |
Last Update Date | 27/07/2010 |