| NPI | 1922481167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A186051) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-262546) |
| 208800000X Urology (Licence: MA 286419) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2023-09-07 |