| NPI | 1982888228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NE 36801) |
| Additional Taxonomies | 208800000X Urology (Licence: IA MD-54647) |
| 208800000X Urology (Licence: CA C131145) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2025-06-23 |