| NPI | 1053375584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME87618) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME87618) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2017-04-10 |