| NPI | 1265608707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301107280) |
| Additional Taxonomies | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MI 4301107280) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2020-03-02 |