| NPI | 1295734598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101239642) |
| Additional Taxonomies | 208800000X Urology (Licence: IA MD-46056) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-07-09 |