| NPI | 1629162607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35.000000) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 9800543) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-08-08 |