| NPI | 1134394430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NM MD2013-0794) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM MD2013-0794) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2021-04-21 |