| NPI | 1033414834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: GA 074552) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: GA 074552) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2015-08-10 |