| NPI | 1669631966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: TN 44682) |
| Additional Taxonomies | 208800000X Urology (Licence: TN 44682) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2022-08-01 |