| NPI | 1174056139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0070880) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A176744) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-07-25 |