| NPI | 1073548665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NM MD2009-0744) |
| Additional Taxonomies | 208800000X Urology (Licence: CA C42180) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-06-14 |