| NPI | 1083930614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35133901) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35133901) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2022-02-22 |