| NPI | 1023064235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 0435525) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO MD117878) |
| 208800000X Urology (Licence: MO 117878) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-01-10 |