| NPI | 1346349123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D25761) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101033781) |
| 208800000X Urology (Licence: DC 12598) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |