| NPI | 1144517897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 04-36481) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: OR MD175773) |
| 208600000X Surgery (Licence: OR MD175773) | |
| 208600000X Surgery (Licence: MO 2018019516) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2026-10-16 |