| NPI | 1841239233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WY 10957A) |
| Additional Taxonomies | 208800000X Urology (Licence: SC TL37911) |
| 208800000X Urology (Licence: NC 39425) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-05-11 |