| NPI | 1538652367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0072863) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT215194) |
| 208800000X Urology (Licence: CA A184763) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2025-02-07 |