| NPI | 1801836747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: SC 39029) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 39029) |
| 208800000X Urology (Licence: NC 9801658) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-03-15 |