| NPI | 1144223827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: UT 5860718-1205) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 5860718-1205) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2022-02-07 |