| NPI | 1003029372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A125924) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2011012612) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-11-21 |