| NPI | 1215932926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MT 11268) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301073699) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2024-08-23 |