| NPI | 1497945901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: LA MD.201386) |
| Additional Taxonomies | 208800000X Urology (Licence: LA MD.201386) |
| 208800000X Urology (Licence: OH 35.094859) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2023-04-19 |