| NPI | 1033383781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D62204) |
| Additional Taxonomies | 208800000X Urology (Licence: DC MD035146) |
| 208800000X Urology (Licence: VA 0101245806) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2021-09-24 |