| NPI | 1356346878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 46758) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AZ 46758) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2022-03-17 |