| NPI | 1821433913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: MI 4301097886) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MI 4301097886) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2020-09-01 |