| NPI | 1831357227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX N7969) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP1-0032093) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2018-03-17 |