| NPI | 1336587393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX T0491) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX T0491) |
| 208800000X Urology (Licence: VA 0101257002) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2025-02-27 |