| NPI | 1891786091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 9700609) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 9700609) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2021-01-07 |