| NPI | 1285632760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME48626) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME 48626) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2023-04-04 |