| NPI | 1720246580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MN 50810) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: OH 35 096805) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2020-10-01 |