| NPI | 1538267547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WV 22490) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: WV 22490) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2021-12-06 |