| NPI | 1154308104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME56671) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0056671) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2014-06-20 |