| NPI | 1568450666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 33566) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 33566) |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AZ 33566) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2024-10-02 |