| NPI | 1174749907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35.089679) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35.089679) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-12-08 |