| NPI | 1275525545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NH LT4196) |
| Additional Taxonomies | 208800000X Urology (Licence: GA 85836) |
| 208800000X Urology (Licence: WY TL6077) | |
| 208800000X Urology (Licence: DC MD9513) | |
| 208800000X Urology (Licence: MD D0020464) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-06-25 |