| NPI | 1336314327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME117474) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME117474) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2025-02-24 |