| NPI | 1649296237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WV 27138) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: OH 35-078993) |
| 208600000X Surgery (Licence: OH 35-078993) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2021-11-17 |