| NPI | 1124575436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0100270) |
| Additional Taxonomies | 208800000X Urology (Licence: DC MD500003031) |
| 208800000X Urology (Licence: PR 34167-R) | |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2024-05-21 |