| NPI | 1003809310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD d0063348) |
| Additional Taxonomies | 208800000X Urology (Licence: DC md035492) |
| 208800000X Urology (Licence: VA 0101287326) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2025-10-29 |