| NPI | 1922280973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 2009-00622) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A101877) |
| Enumeration Date | 2007-12-02 |
| Last Update Date | 2021-05-26 |