| NPI | 1376093716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WI 64809-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 64809) |
| 208800000X Urology (Licence: WI 64809) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2020-12-22 |