| NPI | 1154589364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MN 104548) |
| Additional Taxonomies | 208800000X Urology (Licence: UT 6027031-1205) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2009-08-24 |