| NPI | 1770505836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AZ A93843) |
| Additional Taxonomies | 208800000X Urology (Licence: AZ A93843) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2025-03-12 |