| NPI | 1174561112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME41383) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME41383) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-02-15 |