| NPI | 1093291619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 310677) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 125.071621) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2021-07-22 |