| NPI | 1043260698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 121265) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 1543) |
| 208800000X Urology (Licence: WI 49995-20) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-11-19 |