NPI | 1013222959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PR 021734) |
Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35.128488) |
Enumeration Date | 2010-08-16 |
Last Update Date | 2022-01-25 |