| NPI | 1467947143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.150862) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A183213) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2024-06-04 |