| NPI | 1477742211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: LA 303441) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 57013043) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2017-04-05 |