| NPI | 1447416243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WI 68363) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125054035) |
| 208800000X Urology (Licence: MI 4301106725) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2023-12-20 |