| NPI | 1215000575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: DC MD32627) |
| Additional Taxonomies | 174400000X Specialist (Licence: DC MD32627) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2010-12-15 |