| NPI | 1093058315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD473709) |
| Additional Taxonomies | 208800000X Urology (Licence: MD D0085017) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2021-07-29 |