| NPI | 1356875728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OR MD-213977) |
| Additional Taxonomies | 208800000X Urology (Licence: IA MD-49696) |
| 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: IA MD-49696) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-01-30 |