| NPI | 1053368118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 04-35729) |
| Additional Taxonomies | 208800000X Urology (Licence: CO DR.0035851) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2025-03-20 |