| NPI | 1083604219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MA 79821) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: VT 042.0012769) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2024-03-06 |