| NPI | 1427011329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101 230673) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VA 0101 230673) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-10-28 |