| NPI | 1285862433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: RI MD14748) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP01691) |
| 208800000X Urology (Licence: RI LP01691) | |
| 208800000X Urology (Licence: MA 273445) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2025-09-24 |