| NPI | 1639312226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0054858) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD451416) |
| Enumeration Date | 2009-04-12 |
| Last Update Date | 2026-02-27 |