| NPI | 1447563317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD61344380) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A135034) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2023-03-06 |