| NPI | 1235495185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0062273) |
| Additional Taxonomies | 208800000X Urology (Licence: DC MTL000038) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2025-03-13 |