| NPI | 1134323728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX N8730) |
| Additional Taxonomies | 208800000X Urology (Licence: TX BP2-0029557) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2012-03-29 |