| NPI | 1831367788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 49394) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A108746) |
| 208800000X Urology (Licence: NY 268816-1) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2020-04-01 |