| NPI | 1326009861 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301081399) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 4301081399) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-11-27 |