| NPI | 1407774110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4351056960) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI 4351056960) |
| Enumeration Date | 2026-07-09 |
| Last Update Date | 2026-07-09 |