| NPI | 1023305638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD H0088175) |
| Additional Taxonomies | 208800000X Urology (Licence: DC DO034577) |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2025-03-12 |