| NPI | 1598933194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: OH 35.088407) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: OH 35.088407) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2022-02-22 |