| NPI | 1720212269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35099463) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.099463) |
| 204F00000X Transplant Surgery (Licence: NY 283739-1) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2018-05-01 |