| NPI | 1841559275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA A129048) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A129048) |
| 208800000X Urology (Licence: CA A129048) | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2020-08-27 |