| NPI | 1821450974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A156081) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A156081) |
| 208800000X Urology (Licence: CA A156801) | |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2021-08-09 |