| NPI | 1154388809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35122948) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TX L9407) |
| 204F00000X Transplant Surgery (Licence: PA MD-072163-L) | |
| 208600000X Surgery (Licence: TX L9407) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2018-08-07 |