| NPI | 1235669276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX T5858) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10060953) |
| 208800000X Urology (Licence: TX BP20065466) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-09-13 |