| NPI | 1326010281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD041546L) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301048056) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-10-23 |