| NPI | 1922504331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AL MD.46779) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AL 46779) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2026-02-18 |