| NPI | 1013691047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: FL Me162103) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME162103) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2026-06-05 |