| NPI | 1720600794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35.153638) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 94-10202) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2025-06-12 |