| NPI | 1073534525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA G72638) |
| Additional Taxonomies | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: CA G72638) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-11-27 |