| NPI | 1285803627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 5101016094) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2013-00470) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2023-06-26 |