| NPI | 1003800806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA G70937) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA G70937) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-11-17 |