| NPI | 1376786186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D79005) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A134374) |
| 208800000X Urology (Licence: DC MD042683) | |
| 208800000X Urology (Licence: VA 0101259664) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2025-05-27 |