| NPI | 1346239472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D88639) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MD425843) |
| 208800000X Urology (Licence: VA 0101257989) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2023-10-06 |