| NPI | 1093993115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 04-35672) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2012013502) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2014-10-27 |