| NPI | 1881844736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX P7681) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A115861) |
| 208800000X Urology (Licence: NJ 25MA08575600) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2015-03-07 |