| NPI | 1982690665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME86279) |
| Additional Taxonomies | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: FL ME86279) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2013-12-03 |