| NPI | 1124274105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: DE C1-0011296) |
| Additional Taxonomies | 208800000X Urology (Licence: MN 52006) |
| 208800000X Urology (Licence: TN 50005) | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2023-07-06 |