| NPI | 1477516490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 25976) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 25976) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2017-04-04 |