| NPI | 1942436886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 314844) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD60462997) |
| 208800000X Urology (Licence: IL 125054599) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2022-07-05 |