| NPI | 1326156746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.076223) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35076223) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2022-01-07 |