| NPI | 1790740041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME114536) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35089317) |
| 204F00000X Transplant Surgery (Licence: OH 35089317) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-01-10 |