| NPI | 1598224925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IA MD-52742) |
| Additional Taxonomies | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: IA MD-52742) |
| 2088P0231X Urology Pediatric Urology (Licence: IA MD-52742) | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2024-08-08 |