| NPI | 1023098043 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA A45454) | 
| Additional Taxonomies | 208800000X Urology (Licence: CA G45454) | 
| Enumeration Date | 2006-01-17 | 
| Last Update Date | 2019-11-13 |