| NPI | 1538103577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME82832) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME82832) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-12-07 |