| NPI | 1417048331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME111180) |
| Additional Taxonomies | 208800000X Urology (Licence: GA 043782) |
| 208M00000X Hospitalist (Licence: FL ME111180) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-08-22 |