| NPI | 1437680204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A184663) |
| Additional Taxonomies | 208800000X Urology (Licence: CO DR.0074209) |
| 208800000X Urology (Licence: TX V1750) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2025-04-24 |