| NPI | 1336169044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35-076790) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: OH 35-076790) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-10-14 |