| NPI | 1285657551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NE 19060) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 15241) |
| 208800000X Urology (Licence: MO R3J60) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-01-02 |