| NPI | 1033381108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WV 25963) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2008011487) |
| Enumeration Date | 2008-03-29 |
| Last Update Date | 2022-04-07 |