| NPI | 1881784536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX G4923) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX G4923) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-11-13 |