| NPI | 1275544363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0018408) |
| Additional Taxonomies | 208800000X Urology (Licence: DC MD14543) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-01-25 |