| NPI | 1194793778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35083286) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: OH 35-083286) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2009-04-02 |