| NPI | 1245473453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IA MD-42405) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2013-02437) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2015-11-07 |