| NPI | 1245434539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A135223) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MD445375) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2022-03-11 |