| NPI | 1427059724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 21709) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 0021709) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-10-15 |