| NPI | 1295762797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: TN MD41001) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TN MD41001) |
| 208800000X Urology (Licence: TN MD41001) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-03-14 |