| NPI | 1477712040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IA MD-43528) |
| Additional Taxonomies | 208800000X Urology (Licence: MD D75794) |
| 208800000X Urology (Licence: NY 284371) | |
| 208800000X Urology (Licence: DC MD042437) | |
| 208800000X Urology (Licence: IL 036130870) | |
| 208800000X Urology (Licence: CA C157659) | |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2021-03-26 |