| NPI | 1225158108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD448796) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A98744) |
| 208800000X Urology (Licence: MD D72501) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2017-03-21 |