| NPI | 1770528176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: TX P7343) |
| Additional Taxonomies | 208800000X Urology (Licence: TX P7343) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2016-03-30 |