| NPI | 1285894030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 04-38018) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME166640) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2024-06-24 |