| NPI | 1447208913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TN MD34984) |
| Additional Taxonomies | 208800000X Urology (Licence: CO CDR.0003922) |
| 208800000X Urology (Licence: KY 35425) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2026-01-30 |