| NPI | 1255508057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA 135210) |
| Additional Taxonomies | 208800000X Urology (Licence: CA 135210) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2021-12-15 |