| NPI | 1063580207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: GA 061968) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101056269) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-02-02 |