| NPI | 1225223043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 353134423) |
| Additional Taxonomies | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: OH 35.134423) |
| 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: ID M-12740) | |
| 208800000X Urology (Licence: ID M-12740) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2024-05-01 |