| NPI | 1285676189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 62651) |
| Additional Taxonomies | 208800000X Urology (Licence: CO DR.0058099) |
| 208800000X Urology (Licence: FL ME 77687) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-09-09 |