| NPI | 1063564060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME104634) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME104634) |
| 208800000X Urology (Licence: MD D65299) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2021-03-31 |