| NPI | 1700879053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NV 5898) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NV 5898) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2018-03-28 |