| NPI | 1033230933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 04-36419) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2013015498) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-07-16 |