| NPI | 1003996018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: NC 25843) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 25843) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |