| NPI | 1003462136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35.153660) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: UT 12433934-1205) |
| 208600000X Surgery (Licence: UT 12433934-1205) | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2025-07-16 |