| NPI | 1558997452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD485707) |
| Additional Taxonomies | 208800000X Urology (Licence: CA SP634) |
| 208800000X Urology (Licence: CA A178796) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-07-19 |