| NPI | 1760666507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35099749) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35099749) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2018-12-05 |