| NPI | 1174528699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: RI MD06163) |
| Additional Taxonomies | 174400000X Specialist (Licence: RI MD06163) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-12-11 |