| NPI | 1932169190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX J7307) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: TX J7307) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2023-08-17 |