| NPI | 1306865191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA OS-004988-L) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS-004988-L) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-12-31 |