| NPI | 1265622138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: PA MD480234) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: UT 10521685-1205) |
| 208600000X Surgery (Licence: TX P1688) | |
| 208600000X Surgery (Licence: OH 57.008375) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2023-06-20 |