| NPI | 1306950043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA G83950) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G83950) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2025-06-25 |