| NPI | 1841577087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35123338) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35123338) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2021-04-05 |