| NPI | 1841346871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NE 23990) |
| Additional Taxonomies | 208800000X Urology (Licence: VT 042.0012951) |
| 208800000X Urology (Licence: NE 23990) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2025-02-27 |