| NPI | 1154581965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0070922) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A109989) |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2024-05-10 |