| NPI | 1689835738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A109039) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A109039) |
| 208800000X Urology (Licence: NY 274598) | |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2024-03-13 |