| NPI | 1376659615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME137265) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME137265) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-06-15 |