| NPI | 1841237013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: SC 26872) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 26872) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-10-20 |