| NPI | 1003880907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IA MD-46783) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 30099) |
| 208800000X Urology (Licence: NC 30099) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-11-12 |