| NPI | 1114196169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OR MD152679) |
| Additional Taxonomies | 208800000X Urology (Licence: UT 6851346-1205) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2020-11-05 |