| NPI | 1225263254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TN 55477) |
| Additional Taxonomies | 208800000X Urology (Licence: TN 55477) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2022-07-21 |