| NPI | 1043666365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: GA 92361) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 92361) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2024-12-20 |