| NPI | 1295980647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A157982) |
| Additional Taxonomies | 208800000X Urology (Licence: TX BP10029337) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2020-05-10 |