| NPI | 1093976151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0053887) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 35896) |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2018-12-17 |