| NPI | 1891080370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: OH 35.143449) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 297444) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2023-06-06 |