| NPI | 1780902015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A135232) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA A135232) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2020-01-08 |