| NPI | 1265498117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0067744) |
| Additional Taxonomies | 208800000X Urology (Licence: MI DT052731) |
| 208800000X Urology (Licence: MI 4301052731) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-02-02 |