| NPI | 1033258074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NM md2022-0970) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2007007773) |
| 208800000X Urology (Licence: AR E6011) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-01-04 |