| NPI | 1083857205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CO DR.0055598) |
| Additional Taxonomies | 208800000X Urology (Licence: MT 68010) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2024-11-25 |