| NPI | 1174841654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0083110) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 265061) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2022-07-21 |