| NPI | 1275503021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: NY 169519) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 169519) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2024-06-26 |