| NPI | 1306895941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: LA MD.010587) |
| Additional Taxonomies | 208800000X Urology (Licence: LA 010587) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-12-27 |