| NPI | 1639475346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NY 237105) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: NY 237105) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2022-09-11 |