| NPI | 1720021637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 9500634) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 9500634) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-07-15 |