| NPI | 1134370182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D72603) |
| Additional Taxonomies | 208800000X Urology (Licence: DC MD040082) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2020-07-27 |