| NPI | 1205020385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NH 16121) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 097009) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2022-04-27 |