| NPI | 1073605994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VT 042.0012561) |
| Additional Taxonomies | 208800000X Urology (Licence: ME 013870) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2013-03-18 |