| NPI | 1649447368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MN 58754) |
| Additional Taxonomies | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MI 4301091947) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2021-03-11 |