| NPI | 1306855390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0062602) |
| Additional Taxonomies | 208800000X Urology (Licence: DC MD035370) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2025-03-12 |