| NPI | 1275973737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WI 73578) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 73578) |
| 208800000X Urology (Licence: AZ R73976) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A154946) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2021-02-05 |