| NPI | 1528075579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NM 87-350) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NM 87-350) |
| 2088P0231X Urology, Pediatric Urology (Licence: NM 87-350) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-07-02 |