| NPI | 1457705030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35.140470) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A140442) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2023-06-28 |