| NPI | 1124280425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MN 58268) |
| Additional Taxonomies | 208800000X Urology (Licence: CO DR.0052542) |
| 208800000X Urology (Licence: KS 7061) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2023-03-27 |