| NPI | 1801901731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD043970E) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: OH 35.130003) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-09-28 |