| NPI | 1346592458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35.134771) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: VA 0101261214) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2021-03-15 |