| NPI | 1619124831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY P64756) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY P64756) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2009-03-04 |