| NPI | 1265548697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MA 280790) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D52526) |
| 208800000X Urology (Licence: MD D52526) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2021-07-22 |