| NPI | 1184731127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A116234) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2007-01085) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-10-29 |