| NPI | 1275585598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD00029789) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: WA MD00029789) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-04-16 |